Whalio Doctors

NPI 1003966326

Roundys Supermarkets INC

Organisation Community/Retail Pharmacy Glendale, WI

Practice location

Address
1735 W Silver Spring Dr, Glendale, WI 53209-4400
Phone
(414) 247-8581
Fax
(414) 247-8603
Mailing address
PO Box 842772, Boston, MA 02284-2772

Authorised official

Name
Allison Bredestege
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Registered specialties

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 8712042 (WI)

Registry record

NPI
1003966326
Entity type
Organization
NPI issued
11 Jan 2007
Record last updated
1 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.